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NPI 1326585035

NPI 1326585035 : UNIVV II INC : LEHIGH ACRES, FL

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General NPI Number Information
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    NPI Number           |    1326585035
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNIVV II INC 
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Dates
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    Enumeration Date     |    01/20/2017
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    Last Update Date     |    02/14/2017
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Provider Practice Location Address
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    Address Line         |    700 LEELAND HEIGHTS BLVD W STE 100 SUITE-100
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    City                 |    LEHIGH ACRES
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    State                |    FL
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    Zip                  |    33936-6662
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    Country              |    US
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    Telephone            |    239-491-2909
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2814 LEE BLVD UNIT-1
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    City                 |    LEHIGH ACRES
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    State                |    FL
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    Zip                  |    33971-1567
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    Country              |    US
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    Telephone            |    239-491-2909
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ANIL  HARKHANI 
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    Credential           |    
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    Telephone            |    239-491-2909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    PH30571
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    License Number State |    FL
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